| Elite Surgery Medical Center, Llc | |
|
16311 Ventura Blvd Suite 1085 Encino CA 91436-2124 | |
| (818) 501-5353 | |
| (818) 501-2723 |
| Full Name | Elite Surgery Medical Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 16311 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Bijan Broukhim (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8185015353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Surgery Medical Center, Llc 16311 Ventura Blvd Suite 1085 Encino CA 91436-2124 Ph: (818) 501-5353 | Elite Surgery Medical Center, Llc 16311 Ventura Blvd Suite 1085 Encino CA 91436-2124 Ph: (818) 501-5353 |
| NPI Number | 1821127275 |
|---|---|
| Provider Enumeration Date | 03/03/2007 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821127275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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